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Network Health Armor (PPO)

Medicare Plan Details (2023 Plan)

Monthly Premium

 

by Network Health Medicare Advantage Plans
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 5.0
out of 5 stars

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Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

Plan Details

$0
$0
$0
$0
$4,900 In and Out-of-network
$4,900 In-network
No
Yes
Yes
Yes
https://networkhealth.com/find-a-doctor/
https://networkhealth.com/

Medical Benefits

Doctor Services

In-network: $0 copay
Out-of-network: $0 copay
In-network: $40 copay per visit
Out-of-network: $40 copay per visit

Tests, labs, & imaging

In-network: $20-40 copay
Out-of-network: $20-40 copay
In-network: $0-20 copay
Out-of-network: $0-20 copay
In-network: $40-125 copay
Out-of-network: $40-125 copay
In-network: $30 copay
Out-of-network: $30 copay
$110 copay per visit (always covered)
$40 copay per visit (always covered)

Hospital Services

In-network: $295 per day for days 1 through 6
$0 per day for days 7 through 90
Out-of-network: $295 per day for days 1 through 6
$0 per day for days 7 and beyond
In-network: $275 copay per visit
Out-of-network: $275 copay per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$196 per day for days 21 through 45
$0 per day for days 46 through 100
Out-of-network: $0 per day for days 1 through 20
$196 per day for days 21 through 45
$0 per day for days 46 through 100

Preventive services

In-network: $0 copay
Out-of-network: $0 copay

Ambulance

In-network: $300 copay
Out-of-network: $300 copay

Therapy services

In-network: $30 copay
Out-of-network: $30 copay
In-network: $30 copay
Out-of-network: $30 copay

Mental health services

In-network: $20 copay
Out-of-network: $20 copay
In-network: $20 copay
Out-of-network: $20 copay
In-network: $20 copay
Out-of-network: $20 copay
In-network: $20 copay
Out-of-network: $20 copay

Opioid treatment services

Covered

Other services

In-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
In-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
In-network: $0 copay
Out-of-network: $0-10 copay per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

In-network: 20% coinsurance
Out-of-network: 20% coinsurance
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Extra Benefits

Hearing

In-network: $40 copay
Out-of-network: $40 copay
In-network: $0 copay
Out-of-network: $40 copay
In-network: $495-1,695 copay
Out-of-network: $495-1,695 copay

Preventive Dental

In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance

Comprehensive dental

In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance
In-network: $0 copay
Out-of-network: 50% coinsurance

Vision

In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Not covered
Not covered
In-network: $0 copay
Out-of-network: $0 copay

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage

Health Plan Star Ratings

(government star ratings are out of 5 stars)
 5
 4
 4
 5
 5
 5

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